Penny, Janet Adele

Penny, Janet Adele is an individual health care provider with primary practice located at 1600 Se Court Pl L01, Pendleton OR 97801. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Penny, Janet Adele can be contacted via phone (541) 276-0250.

Contact Information

Primary practice address
1600 Se Court Pl L01 Pendleton OR 97801
Phone: (541) 276-0250
Fax: (541) 276-0253
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD19780 Oregon

Profile Details

NPI number 1578554770
LBN Legal business name Penny, Janet Adele
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578554770 NPPES
Oregon MEDICAID 081091

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